Individual
MR. ARCHIE LEE MOORE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
6958 GRANDWOOD WAY, SAN JOSE, CA 95120
(408) 927-7811
(408) 268-5268
Mailing address
6958 GRANDWOOD WAY, SAN JOSE, CA 95120
(408) 927-7811
(408) 268-5268
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
23837
CA
Other
Enumeration date
07/28/2006
Last updated
08/19/2009
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